ClinicalTrials.gg
Not yet recruitingNCT06661148Updated Oct 28, 2024

Study of EPI-003 in Select Nucleos(t)Ide Analogue-Treated, Chronic Hepatitis B Patients

A Phase 1 interventional study of EPI-003 in Chronic Hepatitis B and HBV (Hepatitis B Virus), sponsored by Epigenic Therapeutics, Inc. Not yet recruiting at 4 sites in 3 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-10-28.

Sponsored by Epigenic Therapeutics, Inc · Phase 1, Interventional, and Treatment

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Phase
Phase 1
Study type
Interventional
Enrollment
36
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 82 studies in Hepatitis B, Chronic with a site in New Zealand — 8 open to participants now, 10 under way, none of them phase 3. Hepatitis B, Chronic · New Zealand.

Planned enrollment
60th of 76
36 · median 84
Started
2024
with 5 others
Phase 1
38 of 82
5 open now
Registered
74th of 82
by date

Among the 82 studies in Hepatitis B, Chronic with a site in New Zealand, this one is the 60th largest by planned enrollment of the 76 interventional ones that give a count, is one of 6 that started in 2024, is one of 38 in phase 1, and was the 74th registered.

Hepatitis B, Chronic

895 studies on the registry are indexed under Hepatitis B, Chronic; 152 are open to participants now.

Browse Hepatitis B, Chronic studies →

Open to participants now

8 of the 82 studies in Hepatitis B, Chronic with a site in New Zealand are open now. Recruiting first, the newest first:

2 more — sign in →

All 8 open studies →

A study can be open while its sites in New Zealand have not opened yet or have stopped. Only those recruiting at a site in New Zealand →

Who these studies take

Of the 97 Hepatitis B, Chronic studies recruiting now, 33 (34%) set no upper age limit and 59 (61%) stop at 75 or younger; 11 take children under 18; 13 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 82 studies in Hepatitis B, Chronic with a site in New Zealand, or all of them as a file.
02

Study summary

This study is an open-label, 2-Part (Single Ascending Dose [Part 1] And Dose Expansion) study that will evaluate the safety of EPI-003 administered to patients with chronic infection with HBV (CHB). EPI-003 is a liver-targeted antiviral therapeutic for intravenous (IV) injection that is capable of precise epigenetic modifications of the HBV genome without causing mutations in the gene sequence itself. This study is designed to determine the safety and pharmacokinetic (PK) and pharmacodynamic (PD) profile of EPI-003 in this patient population.

03

Conditions studied

  • Chronic Hepatitis B
  • HBV (Hepatitis B Virus)
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Aged 18 to 65 years (inclusive) at the time of signing the .
  2. (BMI) ≥ 18 kg/m2 and ≤ 35 kg/m2 at Screening, and body weight of ≤ 120 kg.
  3. Chronic infection for ≥ 6 months prior to Screening (eg, positive for serum HBsAg, HBV DNA, HBeAg for ≥ 6 months ) or serum immunoglobulin M (IgM) anti-HBc (hepatitis B core antibody) negative at Screening; AND Baseline HBsAg positive at Screening.
  4. Has received treatment with a NA (entecavir, tenofovir disoproxil fumarate or tenofovir alafenamide) as a stable dose for ≥ 6 months before Screening and plans to continue at the same dose level for the duration of the study. Participants may be on other NAs but require Sponsor approval before enrolment.
  5. HBV DNA \< LLOQ (according to local guidelines) for ≥ 6 months and at Screening
  6. (ALT) and aspartate aminotransferase (AST) ≤ 2 × (ULN) at Screening.
  7. Able and willing to attend the necessary visits to the study site.
  8. Able and willing to provide written informed consent after the nature of the study has been explained and prior to the commencement of any study procedures.

Exclusion criteria

Exclusion Criteria:

  1. Evidence or history of liver disease of non- aetiology.
  2. Previous history or current diagnosis of significant liver fibrosis or cirrhosis
  3. Liver ultrasound or other imaging with findings suggestive of HCC at any time.
  4. Participants with serum alpha-fetoprotein (AFP) ≥ 200 ng/mL at Screening.
  5. Positive test result for -1 or HIV-2 that suggests a concurrent infection at Screening.
  6. History of acute febrile illness, symptomatic viral, bacterial, or fungal infection within 1 week before Day 1.
  7. History of receiving HBV vaccine or other HBV-targeted therapeutic within the 6 months before Day 1.
  8. Previous treatment with an HBV-targeted treatment other than NAs within the 6 months before Day 1 or planned use during the study.
  9. Any of the laboratory values at Screening (Screening laboratory tests may be repeated once for values thought to be erroneous OR not as per the PI):
  10. Immunodeficient or conditions due to disease.
  11. Chronic treatment with .
  12. Any history of unexplained blackouts, fainting episodes, significant arrythmias, clinically significant abnormality of , marked abnormalities, or any known risk factors for Torsade de Points
  13. History of anaphylaxis, , or significant drug allergies.
  14. Received any antiplatelet or antithrombotic therapy.
  15. History of thrombophilia or history of a positive genetic test for Factor V Leiden and/or prothrombin 20210.
  16. Known or suspected intolerance or hypersensitivity to the IP components.
  17. Have received any other IP within 30 days or 5 half-lives of Day 1.
  18. Have received any vaccination within 14 days prior to Day 1 or vaccination planned for 3 months following administration of IP.
  19. Received any medications or other treatments that may adversely affect the immune system.
  20. Excess alcohol consumption within 3 months of Screening.
  21. Significant drug abuse/addiction within 3 months of Screening.
  22. Any safety concern or personal condition that is inappropriate for study participation per the Investigator's judgement.
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    EPI-003 group

    Part A:Single Ascending Dose; Part B:Dose Expansion

    Drug: EPI-003

Interventions

  • DrugEPI-003

    Intravenous (IV) infusion.

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs).

    Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs).

    Time frame: From Baseline through to Day 28 postdose

Secondary outcomes

  1. Change from baseline at different follow-up time points for HBsAg, HBsAb, HBV DNA, HBV pgRNA and HBcrAg

    Change from baseline at different follow-up time points for HBsAg, HBsAb, HBV DNA, HBV pgRNA and HBcrAg

    Time frame: From Baseline (predose on Day 1) at Day 3, Day 7, Day 14, Day 28, Day 56, Day 84, Day 112, and Day 182, and Day 365 postdose for the following parameters

  2. Evaluation of maximum observed concentration (Cmax)

    Evaluation of maximum observed concentration (Cmax)

    Time frame: Day 1, Day 3, Day 14, and Day 28

  3. Evaluation of maximum observed concentration (tmax)

    Evaluation of maximum observed concentration (tmax)

    Time frame: Day 1, Day 3, Day 14, and Day 28

  4. Evaluation of terminal elimination half-life (t1/2)

    Evaluation of terminal elimination half-life (t1/2)

    Time frame: Day 1, Day 3, Day 14, and Day 28

Other outcomes

  1. Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs).

    Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs).

    Time frame: Up to day365

07

Study locations

4 sites
  • Epigenic Therapeutics Investigational Site
    Westmead, New South Wales, Australia
  • Epigenic Therapeutics Investigational Site
    Hong Kong, China
  • Epigenic Therapeutics Investigational Site
    Grafton, Auckland, New Zealand
  • Epigenic Therapeutics Investigational Site
    Christchurch, New Zealand
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2024; primary completion for Jun 2027, 30 months later.

Of 73 industry-sponsored phase 1 interventional studies under Hepatitis B, Chronic, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 26. This study's planned 30 months is above that.

Counting every sponsor, half of 81 studies reached it within 16 months; a quarter within 6 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 21, 2024
First posted
Oct 28, 2024
StartEst.
Dec 1, 2024
Primary completionEst.
Jun 30, 2027
CompletionEst.
Jun 30, 2027
Last update
Oct 28, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 28, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06661148
Lead sponsor
Epigenic Therapeutics, Inc
Responsible party
Sponsor
First posted
Oct 28, 2024
Start date
Dec 1, 2024 (estimated)
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Oct 28, 2024

Study contacts

Epigenic Therapeutics Clinical Trials
Contact
xinyu.feng@epigenictx.com
86-17621694653

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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